REGISTRATION

Until : May 31, 2012
and ( as long as places remain available ) until June 30, 2012

The workshops fee includes the 30 € fee for registration
with the association.

To the workshop of
Workshop of date

( write above the selected workshop and its date )

NAME			First name
Date of birth :			Nationality

Occupation
Full address

N°Tél :
E-mail :
Instrument
Level

Tick in the boxes according to your voice :

Soprano Mezzo Alto Tenor Baryton Bass

( For the chamber music workshop, the people registered by the 30th of April
will receive sheet music to study ).

Accomodation required :

Individual room ( in boarding school )
Double room ( in boarding school )
Individual room ( in hotel )
Double room ( in hotel )
Camping
non resident

Number of people acccompanying the musician :
Date
Signature

Please include a non-refundable registration fee of 120 €
( transfer to : MUSIQUE EN VACANCES (IBAN : FR 76 1545 9373 4600 0105 7710 195 BIC : CMCIFR2A )

Send this registration form and the fee, as well as any request for information to :

ASSOCIATION
" MUSIQUE EN VACANCES "
Hôtel-de-ville
BP 231
37602 LOCHES cedex
FRANCE
Phone. : 00 33 (0) 2 47 91 19 53
Fax : 00 33 (0) 2 47 59 37 33